NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is implementing a plan of care for a client with myxedema. Based on the client's diagnosis, the nurse should:
Correct Answer: C
Rationale: Myxedema (hypothyroidism) causes cold intolerance, so an additional blanket is appropriate. High-calorie snacks are for hyperthyroidism. Foot elevation and ketone checks are unrelated.
Question 2 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.
Extract:
The PN may appropriately delegate which of the following to the nursing assistant?
Question 3 of 5
Take the patient's vital signs before starting a blood transfusion.
Correct Answer: A
Rationale: Taking vital signs is within the nursing assistant's scope, unlike central line care, suctioning, or assessing chest pain.
Extract:
Question 4 of 5
A client receiving total parental nutrition is prescribed a 24-hour urine test. When initiating a 24-hour urine specimen, the collection time should:
Correct Answer: B
Rationale: When initiating a 24-hour urine specimen, have the client void, and then start timing. The collection should start on an empty bladder. The exact time the test starts isn't important, but it's commonly started in the morning.
Question 5 of 5
An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?
Correct Answer: C
Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.